AMANDA M LOPEZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021682

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

LOPEZ

Business Name

AMANDA M LOPEZ

Original Issue Date

08/13/2015

Effective Date

09/26/2022

Expiration Date

09/30/2024

City

MILWAUKEE

State

Zip

53207

Ever Disciplined

LastModifiedDate

02/27/2025